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GLP-1 Decoder

Mounjaro for Type 2 Diabetes: Evidence, Eligibility

Yes. Mounjaro is FDA approved for type 2 diabetes: for adults and children 10 and older with type 2 diabetes, it lowers blood sugar when used with diet and exercise. In SURPASS-2, A1C fell 2.3 points on average for people on Mounjaro.

For type 2 diabetes
FDA approved
Active ingredient
tirzepatide
How it is taken
weekly injection
Best result (SURPASS-2)
A1C down 2.3 points

Mounjaro overview

How long it remains in the body
100%50%25%0%05 d10 d15 d20 d25 d50%25%12.5%time after the dose

Its half-life is about 5 days. After 5 d, half is gone. About 3% remains after five half-lives (25 d).

Weight loss in its main trial
Mounjaro (SURPASS-1)7.8 kgPlacebo1 kg

In the SURPASS-1 trial for type 2 diabetes, people lost 7.8 kg over 40 weeks, compared with 1 kg on placebo.

The Price as time goes by
2026$1,112.16$0List priceSelf-pay

Monthly prices in US dollars include list prices and self-pay offers, each taken from the maker's price page.

Sources: FDA label (DailyMed), healthsystemtracker.org, pricinginfo.lilly.com.

Who qualifies?

Mounjaro: who qualifies
SourceWho qualifies
FDA labelFor adults and children 10 and older with type 2 diabetes, it lowers blood sugar when used with diet and exercise.
FDA labelHeart attack, stroke and heart-related death are less likely in adults at high risk who have type 2 diabetes when they take it.

Sources: FDA label (DailyMed).

Results from type 2 diabetes trials

Mounjaro trials for type 2 diabetes
TrialMedicineWho took partLengthPeopleMain result
SURPASS-2 MounjaroAdults with type 2 diabetes on metformin40 weeks1,879A1C down 2.3 points
SURPASS-1 MounjaroAdults with type 2 diabetes who used only diet and exercise40 weeks478A1C down 2.07 points

Trial sources: SURPASS-1 (PubMed) and SURPASS-2 (PubMed).

What's different for type 2 diabetes?

Label points for Mounjaro for type 2 diabetes
What changesWhat the label says
Low Blood Sugar When You Also Use Insulin Secretagogues or InsulinThe chance of low blood sugar rises when you combine this medicine with insulin or a sulfonylurea, and those doses may need lowering.
Diabetic retinopathy complications in patients with a prior historyFor people with type 2 diabetes, diabetic eye disease may worsen, especially when blood sugar falls quickly. Eye checks matter if you already have it.
Taken with insulin or sulfonylureasTaking it with insulin or a sulfonylurea, such as glipizide or glimepiride, makes low blood sugar more likely. The doctor may lower those doses.

As stated in the FDA labels: FDA label on DailyMed.

These warnings are based on the FDA (DailyMed) label.

Coverage for type 2 diabetes

Medicare Part D may cover these medicines when they are prescribed for diabetes or cardiovascular disease.

The listed sources are: humana.com.

Alternatives for type 2 diabetes

GLP-1 medicines and type 2 diabetes
MedicineFor type 2 diabetesHow it is takenTrial result
MounjaroFDA approvedweekly injectionA1C down 2.3 points
OzempicFDA approvedweekly injectionNot listed
RybelsusFDA approveddaily tabletNot listed
TrulicityFDA approvedweekly injectionA1C down 1.77 points
VictozaFDA approveddaily injectionNot listed
ByettaFDA approvedtwice-daily injectionNot listed
WegovyNot an approved useweekly injection or daily tablet9.6% weight loss
ZepboundNot an approved useweekly injection14.7% weight loss
FoundayoNot an approved usedaily tablet9.6% weight loss
SaxendaNot an approved usedaily injection7.4% weight loss

Sources: FDA label (DailyMed), PubMed.

Questions to ask your prescriber

See the full Mounjaro prescribing information at DailyMed.